[INSERT YOUR NAME AND ADDRESS]

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[INSERT YOUR NAME AND ADDRESS]
June __, 2009
Ms. Randi Weingarten
United Federation of Teachers
52 Broadway
New York, New York 10004
Dear Ms. Weingarten,
I object to the expenditure of the amount of my agency fee which represents my
pro rata share of expenses by the United Federation of Teachers or its affiliates that are
not related to representational activities, such as collective bargaining, contract
administration and grievance adjustment for the 2009-2010 fiscal year. Please refund to
me the full amount required under the Supreme Court’s decision in Communications
Workers of America v. Beck (1487 U.S. 735) and related cases.
Thank you for your assistance.
Very truly yours,
[INSERT YOUR NAME, SS#]
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